Journal of pain and symptom management
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J Pain Symptom Manage · May 2024
Assessing Advance Care Planning Fidelity within the Context of Cognitive Impairment: The SHARE Trial.
Advance care planning (ACP) is critical among primary care patients with cognitive impairment, but few interventions have tested ACP with this population. ⋯ Assessing the fidelity of ACP conversations involving primary care patients living with cognitive impairment and their care partners is feasible.
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J Pain Symptom Manage · May 2024
Tai Chi and aerobic exercise on cancer-related dyspnea in advanced lung cancer patients: A randomized clinical trial.
Dyspnea, a prevalent and debilitating symptom in patients with advanced lung cancer, negatively affects symptom burden and prognosis. Physical activity has emerged as a promising non-pharmacological intervention for managing dyspnea. ⋯ Both TC and AE alleviate dyspnea severity in patients with advanced lung cancer, and continuous exercise can yield substantial improvements. Due to its multi-component nature, Tai Chi has a greater effect on dyspnea.
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J Pain Symptom Manage · May 2024
Should subanaesthetic ketamine be considered when managing opioid refractory cancer pain?
In the cancer pain setting, ketamine has been typically employed as a co-analgesic for opioid refractory and neuropathic pain. One controversial topic is whether subanesthetic ketamine be considered when managing opioid refractory cancer pain. In this "Controversies in Palliative Care" article, three clinicians independently answer this question. ⋯ Three independent clinicians reported a divergence of opinion regarding the usefulness of subanesthetic ketamine for managing opioid refractory cancer pain. All investigators acknowledged the lack of high-quality trials. All agreed on the need for adequately powered trials, the development of standardized methodology, and the exploration of any patient sub-populations that may benefit from ketamine for cancer related pain.